OrganizationActive
Living Services Foundation New London LLC
NPI 1720293269 · Developmentally Disabled Services Day Training Agency · New London, MN
Provider details
- NPI number
- 1720293269
- Entity type
- Organization
- Primary specialty
- Developmentally Disabled Services Day Training AgencyAgencies
- Organization subpart
- No
- Authorized official
- Kryss Gimse, Financial Services Director(320) 354-6067
- License
- 00314 (MN)
Specialties & taxonomies
Agencies
Practice location
100 Glenoaks Dr
New London, MN 56273-9580
Phone: (320) 354-2173
Fax: (320) 354-2060
Approximate (ZIP-level) locationGet directions
Mailing address
100 Glenoaks Dr
New London, MN 56273-9580
Other names (DBA / former)
- Doing business as
- Glenoaks Adult Daycare Services
Registry dates
- Enumerated
- 2007-05-10
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.